2026 FLEUR Regional Registration

What Event (City & Date) are you registering for?

Dancer's Information

First NameLast Name

Dancer's Age as of August 1, 2026

Dancer's Current School/Studio Affiliation

Registration/Contact Email

example@example.com

Registration/Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact

First NameLast Name

Emergency Contact relationship to Dancer

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Will the Emergency Contact be in attendance to the event with the Dancer?

Does the dancer have any allergies, chronic illness, or medical conditions that the onsite staff needs to be aware of?

If you answered yes above, please explain:

Terms & Conditions

I have read and agree to the Terms & Conditions above.

Participant Waiver & Release of Liability

1. Certification of Physical Fitness to Participate - I understand that participations in any sport, including dancing at FLEUR events, carries inherent risks of injury, including but not limited to serious permanent injury, paralysis, and death. I voluntarily and knowingly assume all such risks (if over 18) and/or on behalf of my child (if participant is under 18). To minimize risk of injury, I agree to obey and/or instruct my child to obey all safety rules and report any physical problems to event staff immediately.2. Acknowledgement of Participation- By signing this waiver, I certify that (1) Myself (if over 18) and/or my child (if participant is under 18) is not currently under the care of a physician for any injury or illness that would prevent safe participation. (2) Myself and/or my child is not currently being treated for or recovering from any orthopedic injury that would prevent safe participation. (3) Myself and/or my child is in good health and able to safely participate in strenuous physical activity. (4) I will provide my and/or my child's health insurance provider and policy number upon request. (5) Legal Guardian must sign if participant is under 18.3. Release of Liability - In consideration of my and/or my child's (if participant is under 18) participation in a FLEUR event, I agree that (1) I am responsible for all costs associated with any injury of loss that myself and/or my child may sustain while participating in the event. (2) I certify that I carry health insurance that provides adequate coverage for any injuries or illnesses sustained during the event. (3) By signing below, I voluntarily and knowing release, discharge, and agree to hold harmless FLEUR Dance Convention, its owners, employees, agents, contractors, staff, venues, and affiliates, from any and all claims, demands, damages, or liabilities, including claims arising from ordinary negligence, except in cases of gross negligence or intentional misconduct. (4) This release applies to all claims of injury or damages except those resulting from gross negligence or intentional misconduct.4. Indemnity Clause - I agree to indemnify, defend, and hold harmless FLEUR Dance Convention and its employees, agents, and affiliates from and against any an all claims, liabilities, damages losses, and expenses (including reasonable attorney's fee(s) arising out of or related to my and/or my child (if participant is under 18) participation in a FLEUR event, including claims brought by my, my child, or any third party.

I have read and agree to the Participant Waiver & Release of Liability above.

Registration Passes

Dancer Pass

ages 12-18

$165.00

Observer Pass

Non-participating attendees only

$30.00 Quantity

Collegiate Student Pass

ages 18+ with verifiable Student ID

$75.00

Participating Teacher Pass

ages 18+

$65.00 Quantity

Purchase Protection (Refundable Pass add-on)

Cost listed above is for 1 registration and/or per dancer/teacher.

ie... the quantity you select below should reflect the total number of participants you are registering if you would like this add-on included for all registered participants including Observers.

This cannot be added later.

(See Terms & Conditions)

$25.00 Quantity

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Subtotal

Tax

Total

Credit Card

Signature

Registration Passes*

Credit Card

Registration Passes